心肺复苏后个体预后的早期预测：系统评价
Early prediction of individual outcome following cardiopulmonary resuscitation: systematic review.
作者信息
Kaye P
机构信息
Frenchay Hospital, Bristol, UK.
出版信息
Emerg Med J. 2005 Oct;22(10):700-5. doi: 10.1136/emj.2004.016253.
Abstract
Following resuscitation from cardiorespiratory arrest 80% of patients are comatose. Of these patients, 20% will survive and regain consciousness. Is it possible to predict an individual's long term outcome at presentation and alter management accordingly? This review examines the current medical literature and demonstrates it is impossible to predict immediately outcome from hypoxic-ischaemic coma except in a small subgroup of patients with poor premorbid factors. As individual prognosis cannot be determined in the emergency department all patients who do not have significant premorbid features should proceed to a period of supportive care in the intensive care unit. Therapeutic hypothermia should be considered for these patients.
摘要
在心肺骤停复苏后，80%的患者会昏迷。在这些昏迷患者中，20%将存活并恢复意识。能否在就诊时预测个体的长期预后并据此改变治疗方案？本综述研究了当前的医学文献，结果表明，除了一小部分病前因素较差的患者亚组外，无法立即预测缺氧缺血性昏迷的预后。由于在急诊科无法确定个体预后，所有没有明显病前特征的患者都应在重症监护病房接受一段时间的支持性治疗。对于这些患者，应考虑进行治疗性低温。
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